Patient's question:
Detailed medical condition and consultation purpose:How can there be pelvic effusion without having had any sexual relations with a man? Will it lead to infertility? Is the endometrium the same as the hymen? How can it become thick?
Duration and onset of the current illness:
It hasn’t arrived in November, and it’s been about 40 days so far. After an ultrasound, it was said that the uterus is anteriorly positioned, with dimensions 4.1x2.6x3.0. The left ovary is 2.0x2.7, and the right ovary is 2.6x2.3. There is a 1.0 cm anechoic area at the back of the uterus. The diagnosis is 1) pelvic effusion, 2) no retroverted uterus.
Medical history:
I’ve had my first
Doctor's answer:
Pelvic effusion refers to the presence of inflammatory exudate in the pelvic cavity. It can occur after endometritis, where slightly viscous fluid seeps out from swollen cells in the endometrial tissue and gradually forms a cystic mass as it is encapsulated by surrounding tissues. If left untreated, it can grow over time. If it becomes too large, medication cannot eliminate it, and surgery may be required. Pelvic effusion can be completely cured, but effective treatment must be based on identifying the causative pathogen.Apart from the normal pelvic effusion in women due to physiological characteristics, pathological pelvic effusion is mostly associated with pelvic inflammatory disease (PID) or endometriosis. The causes of PID are often related to poor hygiene habits, such as sexual activity during menstruation or within one month postpartum, or taking a bath after gynecological surgery within one month. Medical infections caused by unsterilized artificial abortion or induced abortion can also lead to pelvic effusion. For effusion caused by pelvic inflammation, posterior fornix aspiration is recommended to determine the nature of the fluid. Chronic infection foci may be due to inflammation of the ovaries or fallopian tubes in the gynecological system, or they could be caused by tuberculosis or tumors. Early treatment for PID is crucial, as delaying it can affect fertility.
To identify the causative pathogen of pelvic inflammation, special laboratory tests should be conducted, followed by symptomatic medication. If tuberculosis is suspected, antitubercular treatment should be administered. Drawing out effusion is a means of examination or symptomatic treatment and should not be performed frequently. Simply draining the effusion not only fails to cure pelvic effusion but may also lead to its increase.